隔药灸三门穴治疗糖尿病胃轻瘫的临床观察

Clinical Observation of Drug Partition Moxibustion at Triple-men Acupoints in Treating Diabetic Gastroparesis

【目的】观察隔药灸三门穴治疗脾胃气虚型糖尿病胃轻瘫的临床疗效。【方法】将105例脾胃气虚型糖尿病胃轻瘫患者随机分为治疗组、对照1组、对照2组,每组各35例。治疗组给予隔药灸三门穴,对照1组给予隔药灸常规腧穴(足三里、天枢、中脘),对照2组给予口服枸橼酸莫沙必利片共治疗6周。观察3组患者治疗前后胃轻瘫主要症状指数量表(GCSI)的症状积分和胃排空率的改善情况并评价各组的临床疗效。【结果】治疗后,治疗组在GCSI的症状积分及胃排空率的改善方面均明显优于2个对照组,差异均有统计学意义(P<0.05)。治疗组临床疗效的总有效率为91.43%,明显高于2个对照组,差异均有统计学意义(P<0.05)。【结论】隔药灸三门穴能明显地改善脾胃气虚型糖尿病胃轻瘫患者的临床症状及胃排空率,临床疗效明显。

Objective To observe the clinical effect of drug partition moxibustion at triplee-men acupoints [the three points of Liangmen(ST21), Guanmen(ST22)and Huaroumen(ST24)] for the treatment of diabetic gastroparesis with spleen-stomach Qi deficiency type. Methods A total of 105 cases of diabetic gastroparesis with spleen-stomach qi deficiency type were randomly divided into treatment group,control group 1 and control group2,35 cases in each group. The treatment group was given partition drug moxibustion at triple-men acupoints,the control group 1 was given partition drug moxibustion at conventional acupoints(Zusanli, Tianshu and Zhongwan),and control group 2 was given oral use of Mosapride Citrate Tablets. After 6 weeks of treatment,the main symptom index scale scores and the gastric emptying rate were observed, and the clinical efficacy was evaluated. Results After treatment, the improvement of the main symptom index scale scores and the gastric emptying rate were significantly superior to those of the two control groups,and the difference was statistically significant(P<0.05). The total effective rate of the treatment group was 91.43%,which was significantly higher than that of the two control groups(P<0.05). Conclusion Drug partition moxibustion at triple-men acupoints can obviously improve the clinical symptoms and gastric emptying rate of diabetic gastroparesis patients with spleenstomach Qi deficiency type.